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Home My WebLink About04-3674 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3674 Permit Number: 3674 Issued: 12/13/2004 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: RV PARK Sq. Feet: Est. Value: Cost: 9,000.00 Total Fees: Amount Paid: 112.50 Date Paid: Address: 39632 AMETHYST WAY ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: EMERALD POINTE RV RESORT Parcel Number: Name: N WILEY C T. MA NT. Addr: 37636 CARIBBEAN DRIVE ZEPHYRHILLS, FL 33541 Phone: Lic: Phone: Work Desc: REPLACE MOTOR PORT ROOF STORM DAMAGE H T MB DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement. n NO OCCUPANCY BEFORE C.O. ~~~~ ~ CONTRACTcSRs SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLI:CATION BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 ! ~ 813-780-0020 FAX: 813-780-0021 1'1 C () I/' DATE RECE IVED / e;-L-. ~, l' PASCO P~RM(r SeRif/( PHONE CONTACT FOR PERMITTING 1-'B~(rgAL{-7g9tj OWNER'S NlOO: LJ~O-I) I-I~(!hr ~'jIL~ .4P7R-IA!f\{f ~ LEGAL DESCRIPTION: LOT(S) ,;)./'1 BLOCK J?/)a.\lL3 r:}tf-cJ ~ -01-/- d(J.s-O Oro:v- cJjYIJ . PHONE JOB ADDRESS PARCEL ID # WORK PROPSED: [JNEW CONSTRUCTION [J SIGN [J ADDITION [J MOVE [JALTERATION X REPAIR [J DEMOLISH [J INSTALL PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J # OF UNITS [J SWIMMING POOL [J MOBILE HOME )3( OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK J~eplace eXl'~tl~j YV1 D-n,r Pn,t Roof dav.\.Ct~r~ t,'OW\.. sbrm BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FT. ~ /2. ,<> /3Lj)(, pl..BUILDING [J ELECTRICAL $ q tJ&O. ttO PERMITS REQUESTED AMP SERVICE [J FLORIDA POWER D W",R.E.C. J ~u~V' ./ VALUATION OF TOTAL CONSTRUCTION [J PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J OTHER [JGAS [J ROOFING [J SPECIALTY TYPE OF CONSTRUCTION: D BLOCK [J FRAME D STEEL J (Jl\.t(.~e- fro........ p4.1t5 . J,>>- OTHER -1-0 sf- r I.A c t u r a-( ('an e Is IN FLOOD ZONE AREA[J YES D NO FINISHED FLOOR ELEVATIONS IS PROJECT BUILDER ~~ ****************************************************************** .. -_"'_ '. d___ , . __..." CC>N'l1W:TOR}"SECT:tON !.:" .'~ ".., ;..> ," - '-: :~:::-:, ~:>/<".-:.<~-,:.. ',:>.':'";,,_" >i'~'_-- "_.:;,; _ - '_". _ - - _'.;';" COMPANY j!. l?/7 ILJ ;/ & C,/Af//'u. d /6n SIGNATURE STATE CERT OR REGIST # ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility fa: compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be require, to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law, If the owner or intended contra~tor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. _ Furthermore, if the owner has hired a contractor or contractors, he is advised to have thE contractor(s) sign po~tions of the "Contractor Sections" of this application for which thE will be responsible. If you, as the owner signs as the contractor, you are indicating th. you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion that he is not properly licensed and j not entitled.to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of nFlorida's Constructior lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that] have obtained a copy of the above described document and promise in good faith to deliver it to the nowner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT' I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development, Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take t be in compliance. Such agencies include but are not limited to: *Department of Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for 'i period of six months after the time the work is commenced, One 90 day extension of time may be allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each si~ month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL~ WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A nNOTICE OF COMMENCEMENT", . \ f\~ IL SIGNA~a~A~ENT . -sJa)Ailfi,{ SIGNATURE: C RACTOR STATE OF FLORIDA 'A COUNTY OF t1.5( 0 The foregoing instrument was acknow.ledged ./. Befor!a, JIle this j'+"'- day of Dee e-,/:u'f 200c by ,'Jt~i..c.-L 7 (" (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing ins~rument was a~kno~ledgedA// Before me this ~day of DRa".....bt>r, 20 ~ by (name of person acknowledged) ~ho is personally known to me, or .;-) f' Cl SCO of identification) ake an oath. Owho has produced '1 (type of identification) and wt(p-"Ddid D:i... id nO;yake.,n .0. ath ~j/ ~'..." ~c~ f person taking acknowledgment _/ ,"\"'" Suzanne Bahr , t>-,t:\! P(J. '" __'',p"':-~~i': Com!llission #DDI57131 Name type~:,. p . m:~p~: ~t'6~~11P6 '....~l-; OF f.JJ~~':'''' ~onded .Thru """"" AtlantIc BondmgCo., Inc. o who has produced (type o did not person taking acknowledgement ,"""" Suzanne Bahr .....'~~V.~U8:/...... . . _"~~"~-:'s Commission #OD157131 Name typed, prin.~~d \()~} 8xpinqilmilV 15, 2006 ,~"i 0; .\.0"'....... Bonded Thru ",,,,,,,' Atlantic Bonding Co., Inc. 11111111111111111 1111111111111111111111111111111111111I11111 2004240523 NOTICE OF COMMENCEMENT State of ,!~ /o/"{/~ County of fJ tl Jto THE tmDERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: .- 101 r)/ </ C /1J ra lei 1'0" ~ I2Y PJorT tLll, 02r;~. cJ.~ -c)/-();JjO- (X}()()j'61If/() rty and street address lf avallable) 1. Description of Property: Parcel No. , 2. General Description of Improvement Rcpt: 841864 OS: 0,00 12/28/04 Rec: 10,00 IT: 0,00 -----___n Dpty Clerk 3. O\vner Information: Name ,lkd...11 Heclttr l~ddress dY&'.~ AIJJf'<Yt.l1 LL,City &.pL,Fk/ls Interest in Property: Stater/: JJr-ri} Name of Fee Simple Titleholder: (If other thgn owner) JEO PITTMANA PASCO COUNTY CLERK 12/28/04 0~ : 19am 1 of 1 OR BK 6167 PG 1608 Address City State ~ Contractor: Name I~A. tu;/f.9 UIkf!IU(! ko;' ...; Address t39'&"rj. ~4/Y)~'fhJ<Sf AAtjCity Ze,Piyr~i4 5. Surety: Name S ta tel'-t' 3dSY'd 4. Address City State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Exp.lrl1t.ion date ot Notice or Commencemeny (the expiration date is 1 fr?m the date of recording unles~,a ~feren,~date is specified.) /' /" -j/ I ~I 13f"- day of ~1/~'J.t:I'" J)ece~er year Signature of Owner: J /... 1k(..,. Sworn to and subscribed r.p .!Ioo<1 of: Notary Public: -1~ t3~ My Commission Expires: , "'~~;;l/.. Suzanne Baht -"'~O"".' '. '~<:~.,I <"'I '. ~ " ~~/ ~ L{lI1lIllI~~IUll #Dfl] 5113 j :oX ~ .::~ Expires: Nov 15,2006 C'?~n'c"Q~"',," - Bonded Thru ./ Ii" \ , Atlantic Bonding Co., Inc. PC93053048